Army Medical Support and Logistics, Exams of Advanced Education

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AMEDD BOLC 223 (2023) Final Exam With

100% Correct Answers

Health Threat - Correct Answer-composite of ongoing or potential enemy actions; adverse environmental, occupational, and geographic and meteorological conditions; endemic diseases; and employment of CBRN weapons (to include weapons of mass destruction that have the potential to affect the short- or long-term health [including psychological impact] of personnel.) Health Support Service (HSS) - Correct Answer-all support and services performed, provided, and arranged by the AMEDD to promote, improve, conserve, or restore the mental and physical well being of personnel in the Army HSS encompasses three components: •Casualty care •Medical evacuation •Medical logistics (MEDLOG) Casuality care - Correct Answer-patient treatment, hospitalization, the treatment aspects of dental care, neuropsychiatric treatment and clinical laboratory services medical evacuation - Correct Answer-medical regulating and en route care Medical logistics (MEDLOG) - Correct Answer-all functional subcomponents and services Force Health Protection (FHP) - Correct Answer-measures to promote, improve, or conserve the mental and physical well-being of Soldiers. These measures enable a healthy and fit force, prevent injury and illness, and protect the force from health hazards and includes the prevention aspects of a number of AMEDD functions. encompasses: •Preventive medicine (PM) •Veterinary services, including food inspection and the prevention of zoonotic diseases •Combat and operational stress control (COSC) •Dental services (preventive dentistry) •Laboratory services and support Army Health System (AHS) - Correct Answer-all encompassing term that describes both the HSS and FHP aspects of AMEDD support Tactical Combat Casualty Care (TCCC) - Correct Answer-occurs during a combat mission and is the military

counterpart to prehospital emergency medical treatment. Includes:

• Tactical evaluation
• Tactical Field Care
• Care under fire Care Under Fire - Correct Answer-combat medical personnel and their units are under effective hostile fire and are very limited in the care they can provide. In essence, only those lifesaving interventions that must be performed immediately are undertaken during this phase. Tactical Field Care - Correct Answer-medical personnel and their casualties are no longer under effective hostile fire and medical personnel can provide more extensive patient care. In this phase, interventions directed at other life-threatening conditions, as well as resuscitation and other measures to increase the comfort of the patient may be performed. Physicians and physician assistants at battalion aid stations or during tailgate medicine support also provide advanced trauma management. Tactical Evaluation Phase - Correct Answer-casualties are being transported to a medical treatment facility (MTF) by an aircraft or vehicle and there is an opportunity to provide additional medical personnel and equipment to maintain the interventions already performed and to be prepared to deal with the potential for the patient's condition to change during the tactical evacuation Casualty evacuation - Correct Answer-unregulated movement of casualties using predesignated or opportune tactical or logistic aircraft and vehicles. These vehicles/rotary-wing aircraft are not staffed with medical personnel for en route care (unless augmentation is planned for in the operation plan [OPLAN]). These vehicles/aircraft do not have organic medical equipment. If the combat medic is not available to provide care en route, the combat lifesaver may accompany the casualties to monitor their condition. Principles of Army Health System - Correct Answer-Conformity, Proximity, Flexibility, Mobility, Continuity and Control conformity - Correct Answer-the medical plan is conformed with the Operation plan Proximity - Correct Answer-medical assets are at the right place at the right time Flexibility - Correct Answer-able to shift resources to meet changing requirements

Mobility - Correct Answer-assets remain in supporting distance to maneuver units Continuity - Correct Answer-moving the patient through progressive, phased roles of care control - Correct Answer-ensure that scarce resources are efficiently employed Role 1 - Correct Answer-unit-level medical care). This role of care includes—

• Immediate lifesaving measures
• Self-aid, buddy aid, combat lifesaver
• EMT / ATM
• Medic, Physician, Physician Assistant
• Medical evacuation Battle aid station and below Role 2 - Correct Answer-Here, the patient is examined and his wounds and general medical condition are evaluated to determine his treatment and evacuation precedence, as a single patient among other patients. Includes:
• X-ray, laboratory, and dental support
• Preventive medicine
• Patient Hold
• Advanced Trauma Management
• Med Log
• Medical Evacuation
• Limited Pharmacy Role 3 - Correct Answer-patient is treated in an MTF staffed and equipped to provide care to all categories of patients, including resuscitation, initial wound surgery, damage control surgery, and postoperative treatment. Includes: •Resuscitation, initial wound surgery, and postoperative treatment
• Hospitalization
• Medical regulating
• Clinical services Role 4 - Correct Answer--most definitive medical care available within the AHS -full spectrum of definitive medical care -CONUS or OCONUS safe havens Health Care and the Command Surgeon in Joint Operations - Correct Answer-•Special staff officer that plans and monitors execution of the AHS mission

•Ensures all Medical Functions and medical operational planning factors are planned and synchronized in operation plans and orders •Has technical supervision of medical operations within the command, but is not a commander (may recommend policy and procedures, but can not give orders to subordinate units except through unit plans and orders) Secure - Correct Answer-•A tactical mission task that involves preventing a unit, facility, or geographical location from being damaged or destroyed as a result of enemy action. (FM 3-90-1) See also assault, breach, denial measure, destroy, reduce, suppress, tactical mission task. •Physical occupation not required Seize - Correct Answer-•A tactical mission task that involves taking possession of a designated area using overwhelming force. (FM 3-90-1). •Must physically occupy the ground Clear - Correct Answer-A tactical mission task that requires the commander to remove all enemy forces and eliminate organized resistance within an assigned area. (FM 3-90-

See also reduce, tactical mission task. Delay - Correct Answer-When a force under pressure trades space for time by slowing down the enemy's momentum and inflicting maximum damage on enemy forces without becoming decisively engaged. (ADP 3-90) disrupt - Correct Answer-1.A tactical mission task in which a commander integrates direct and indirect fires, terrain, and obstacles to upset an enemy's formation or tempo, interrupt the enemy's timetable, or cause enemy forces to commit prematurely or attack in piecemeal fashion.

2. An obstacle effect that focuses fire planning and obstacle effort to cause the enemy to break up its formation and tempo, interrupt its timetable, commit breaching assets prematurely, and attack in a piecemeal effort. (FM 3-90-1) On-order mission - Correct Answer-A mission to be executed at an unspecified time. (FM 6-0) A mission which the force will accomplish at a later time; second in priority to any primary mission for planning; included in paragraph 2 of the OPORD be-prepared mission - Correct Answer-A mission assigned to a unit that might be executed. (FM 6-0) See also on-order mission.

A mission which the force may accomplish at a later time; next in priority to any on order mission for planning; not included in paragraph 2 of the OPORD. defeat - Correct Answer-To render a force incapable of achieving its objectives. (ADP 3-

May or may not entail the destruction of any part of the enemy force Psychological over physical destruction Destroy - Correct Answer-A tactical mission task that physically renders an enemy force combat-ineffective until it is reconstituted. Alternatively, to destroy a combat system is to damage it so badly that it cannot perform any function or be restored to a usable condition without being entirely rebuilt. (FM 3-90-1) See also reconstitution, tactical mission task. Physical destruction over psychological destruction team/crew - Correct Answer- Medical Platoons are organic to what units? - Correct Answer-Maneuver Battalions Cavalry Squadrons Field Artillery Battalion PLT HQ Section - Correct Answer-1 Field Medical Assistant (70B) 1 PSG (68W40) Treatment Squad - Correct Answer-The medical treatment squad consists of two treatment teams that provide emergency care, ATM, and routine sick call for Soldiers assigned to supported units without organic medical support within the MCAS's AO A Team 1MD 3 Combat Medics B Team 1PA 3 Combat Medics Evacuation Section - Correct Answer-4 Stryker MEV Ambulances 12 Combat Medics (68Ws) •4 Emergency Care SGT •4 Emergency Care SPC •4 Ambulance Drivers Combat Medic Section - Correct Answer-14 Combat Medics (68Ws) •3 Emergency Care SGT 11 Combat Medics

located with the combat/maneuver forces HQ Section Responsibilities - Correct Answer-1. Mission command

2. Manages the battalion's evacuation assets (to include coordinating MEDEVAC)
3. Manages the battalion's medical logistics
4. Manages the platoon's maintenance program
5. Develops the battalion FHP/HSS plan
6. Normally co-located with a treatment squad to form the Battalion Aid Station (BAS) HQ Section Capabilities - Correct Answer-1.Maintain mission command (MEDEVAC, Situational Understanding, FHP Planning) thru blue force trackers, FM radio, Telecoms, multichannel internet relay track (MIRc) 2.FHP Reporting (Disease non-battle injury DNBI, Class VIII) 3.Conduct military decisions making process (MDMP) thru coordination with TF Logistics Officer (S4) and Operations Officer (S3, FHP Planning) Treatment Squad Responsibilities - Correct Answer-1.Provides Role I Medical Care: Triage, Emergency Medical Treatment (EMT), Advanced Trauma Management (ATM), Sick Call Services. Limited PM and COSC support is provided. 2.Establish & Operate Battalion Aid Station (BAS) in direct support of battalion units. Treatment Squad Capabilities - Correct Answer-Provides Role I Medical Care through use of Medical Equipment Sets (MES) Squad Consists of (2) Treatment Teams with the ability to conduct split operations Battalion Surgeon Responsibilities - Correct Answer-1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (As supervising physician). 2.Advises the battalion commander in regards to the health of the command and medical threats 3.Coordinates and oversees all medical training to include: CLS, 68W Sustainment, and Medical CEUs (Continuing Education Units). 4.Operates Battalion Aid Station (BAS) in direct support of battalion units 5.Assumes the role as the Medical Platoon Leader as needed 6.Oversees field medical record maintenance Battalion PA responsibilities - Correct Answer-1.Provides Role I Medical Care: Triage, EMT, ATM, Sick Call, Combat Stress Control (Assists physician). 2.Assists Surgeon in overseeing all medical training to include: CLS, 68W Sustainment, and Medical CEUs. 3.Operates Battalion Aid Station (BAS) in direct support of battalion units Evacuation Section Responsibilities - Correct Answer-1.Provides medical evacuation from Casualty Collection Point (CCP) and enroute care to the BAS

2.Provides medical evacuation and enroute care on an area basis within the battalion AOR (Positioned at the BAS) 3.Works with the Line Medics/Trauma Specialists to assist company FHP/HSS plan 4.Conducts Class VIII Re-supply from BAS to maneuver companies Maintains mission readiness of their ambulances Treatment Platoon Task Organization - Correct Answer-provides Role II FHP and reinforcing Role I FHP to assigned and attached units of the BCT (or the MCAS area of responsibility). The platoon receives, triages, treats and determines the disposition of patients. The platoon provides for ATM, general medicine and general dentistry Treatment platoon HQ - Correct Answer-•Provides mission command of the platoon and platoon attached assets •Directs activities of the clearing station and monitors Class VIII supplies, blood usage and inventory roles •Tracks patients and coordinates evacuation to higher roles of care •Field Medical Assistant acts as platoon leader in garrison; generally retains position and responsibilities while deployed Medical Treatment Squad - Correct Answer-•To reconstitute and reinforce treatment squads of the Battalion Aid Stations (BAS) •Provide emergency and routine sick call treatment to soldiers assigned to supported units •Can operate for up to 48 hours while separated from their parent unit Medical Treatment Squad (Area) - Correct Answer-•One treatment squad •Serves as base medical treatment element of a Role II Medical Treatment Facility (MTF) •Provides sick call services and initial resuscitative treatment - Advanced Trauma Management (ATM) and Emergency Medical Treatment (EMT) for supported units Evacuation Platoon - Correct Answer-evacuates patients from supported units to its role 2 facility. also provides casualty evac support on an area basis for units that do not have organic evac assets Evacuation Platoon HQs - Correct Answer-•Provides mission command for evacuation platoon operations •Maintains communications to direct ground ambulance evacuation of patients •Performs route reconnaissance and develops and issues graphic overlays to all its ambulance teams •Composed of a platoon leader (70B Field Medical Assistant) and a platoon sergeant (68W40)

Brigade Medical Supply Office - Correct Answer-•The BMSO / Med Supply Section has limited Class VIII / blood management capability and will maintain a Class VIII Authorized Stockage List (ASL) for immediate resupply of high-use / critical Class VIII items •Medical units will deploy with organic MES (sufficient to sustain operations for approximately 72 hours) •Initially, Class VIII resupply will be via push packages tailored to meet the need of the BCT. Combat-configured Class VIII push packages are shipped through the Corps MEDLOG company to the BMSO every third day or based on projected casualty estimates and usage •Supported units will order supplies from the BMSO, or Stryker BCT/MCAS Medical Supply Section, by line item through DMLSS Customer Assistance Module (DCAM); BMSO / Med Supply Section routes the request to the supporting MEDLOG Company by DCAM •Upon receipt of supplies, BMSO / Medical Supply Section distributes supplies by ambulance backhaul, BSB LOGPAC, or supply point distribution from the medical company area Strategic Level Medical Logistics - Correct Answer-1.Determination of material requirements 2.Acquisition, assembly, and fielding of medical supplies and equipment 3.Management of strategic programs for medical force modernization and material readiness US Army Medical Research and Material Command (USAMRMC) - Correct Answer- Centrally Manages Army MEDLOG Programs US Army Medical Material Agency (USAMMA) - Correct Answer-subordinate command of USAMRMC, is responsible for execution of the AMEDD's strategic MEDLOG programs and initiatives. The agency has a wide range of strategic roles involving centrally managed MEDLOG programs, Army supply Class VIII cataloging and set assembly, medical equipment maintenance planning and operations, and Army Force Generation integration and synchronization. The USAMMA has operational oversight of medical materiel acquisition programs and serves as the agency responsible for fielding new medical equipment sets (MES) for Army operational forces in support of force projection, sustainment, and redeployment Prime Vendors - Correct Answer-Acquire CL VIII from industry and deliver to IMSAs and TLAMMs via military or commercial transportation Installation Medical Support Activity (IMSA) - Correct Answer-•Provide CL VIII general support to installations and geographic specific areas. Medical Logistics Support Team (MLST) - Correct Answer-Issue Army Prepositioned Stock

Role 1 logistics - Correct Answer-- Defense Medical Logistics Standard Support (DMLSS) Customer Assistance Module (DCAM) (automated system) -Medical Materiel Mobilization Planning Tool (M3PT)

• Budget Management
• Serviceability of Equipment
• Ambulance Backhaul resupply method
• Senior Line Medics Role 2 logistics - Correct Answer--BMSO (DCAM)
• Pharmacy
• Medical Maintenance
• Blood Management
• Quality Control
• Budget Management
• Regulated Medical waste BCT SPO (Support Operations)
  • 70K CPT
  • BDE Medical Logistics Plan -SPO MED LOG works in conjunction with BDE Surgeon and BDE S
  • CL VII Budgeting Role 3 Logistics - Correct Answer-- DMLSS
• Medical supply supports hospital ONLY
• 68J - 5 PAX (ALL Enlisted)
• Medical Maintenance
• 68A- 6 PAX (1 X CW2 ; 5 Enlisted)
• Oxygen Resupply Medical Logistics Company - Correct Answer-- Provide direct support for medical materiel, medical equipment maintenance, and single and multi vision optical lens fabrication and repair to BCTs and EAB medical units.
• Builds and positions CL VIII to support BCTs and EAB medical units
• Field and Sustainment level medical equipment maintenance
• Forward Distribution Teams (FDT) MEDLOG Information Systems - Correct Answer-Automated Information systems support the following core business functions:
  • Acquisition, accountability, maintenance, and distribution of materiel and equipment.
  • Use, maintenance, and repair of facilities supporting the AMEDD medical Medical Communications for Combat Casualty Care (MC4) - Correct Answer-•Offers deployable medical units a wide range of integrated applications that bridge tactical and sustaining base information management and information technology health care systems.

•Provide the Army computer infrastructure to enable automated medical data collection and sharing DMLSS Customer Assistance Module (DCAM) - Correct Answer-•Primary module used by deployed units. •Provides secure communication and auditing capability and operates as the remote customer module for the MEDLOG support system. •Allows the electronic exchange of files back and forth between two separate DCAM devices to facilitate the transfer of automated information between Roles 1 and 2 MTFs. •Permits users to view the suppliers' catalog and provides capability to perform basic customer-level medical supply functions such as ordering, receiving, managing due-ins, and inventory control. Medical Materiel Mobilization Planning Tool (M3PT) - Correct Answer-•Web-based application •FORSCOM mandated all medical units utilize to inventory MES •Accounted aligned to UIC Global Combat Support System-Army (GCSS-A) - Correct Answer-•Utilized for equipment accountability and maintenance •All medical equipment must be input into GCSS-A system •Allows for proper accountability of maintained equipment •Allows for proper requisition of parts to fix equipment EAB Medical Units - Correct Answer-Medical Company Area Support (MCAS, FST) Medical Company Ground Ambulance Medical Logistics (MEDLOG) company Medical Detachment Blood Support Medical Detachment Veterinary Service Support Medical Detachment Preventive Medicine Medical Detachment Combat Operational Stress Control (COSC) Dental Company Area Support Area Medical Laboratory MEDCOM (DS), MEDBDE, MMB Mission Command Elements - Correct Answer-MEDCOM (Deployment Suppport) and MEDBDE (Support) elements provide Medical Mission Command and administrative supervision of assigned and attached medical units.

Multifunctional Medical Battalion - Correct Answer-multifunctional organization which can provide the requisite planning, synchronization, and coordination for modular medical companies, detachments, and teams/elements. Mission: To provide scalable, flexible, and modular medical mission command, administrative assistance, logistical support, and technical supervision capability for assigned and attached medical functional organizations task organized for support of deployed BCTs and EAB forces. Multifunctional Medical BN Configuration - Correct Answer-- Modular battalion-role medical headquarters; can be scaled upwards as complexity of mission and battlefield increases

• Only the battalion Headquarters and Headquarters Detachment (HHD) is organic
• All other subordinate units are task organized by the MEDCOM (DS) or MEDBDE based on (METT-TC)
• Provides planning, administrative, and logistical support for task organized units Medical Company Ground Ambulance - Correct Answer-Mission: To provide ground evacuation within the theater of Operations. Capabilities:
• Medical evacuation from medical companies (BSMCs and MCASs) to AOR hospitals
• Augmentation of medical company evacuation assets
• Movement of patients between hospitals within EAB or to aeromedical staging facilities for evacuation from the AOR
• Emergency movement of medical personnel and supplies Medical Detachment Blood Support - Correct Answer-- Provides collection, manufacturing, storage, and distribution of blood and blood products to EAB medical units
• Normally attached to an MMB for life support; five-soldier Forward Distribution Section may attach to a MEDLOG Company for operations
• Blood is managed by components packed: Red blood cells (RBCs)- most common at Role 2 Fresh frozen plasma (FFP) Platelets/whole blood (WB) - collected in theater Medical Company Area Support (MCAS) - Correct Answer-Mission: Provides Role 2 AHS support within its assigned AO, as well as unit level (Role 1) support for assigned and attached units without organic Role 1 capability.

Capabilities:

• Provides-Treatment/sick call services Ancillary Services (lab, x-ray, dental) Ground ambulance/evacuation support Medical Logistics Behavioral Health
• May reinforce support to BCTs Forward Surgical Team (FST) - Correct Answer-Mission: To provide a rapidly deployable immediate surgery capability forward in the division AOR, enabling patients to withstand further evacuation. Capabilities:
• 20-person team with 2 operating room (OR) tables
• Performs triage/ preoperative resuscitation, initial surgery, and postoperative nursing care for up to 30 critically wounded or injured patients over a period of 72 hours
• Post-operative nursing care for up to 8 patients simultaneously prior to further patient evacuation
• Operationally employed by being attached to a medical company (BSMC or MCAS); otherwise attached to a Combat Support Hospital
• 100% mobile (has vehicles with trailers; capable of moving all assigned personnel and equipment) Requires significant external support from medical company or CSH in order to function:
• Food service and water distribution
• Unit maintenance
• Patient regulation and evacuation coordination
• Base and convoy security Medical evacuation - Correct Answer-timely and effective movement of the wounded, injured, or ill to and between medical treatment facilities on dedicated and properly marked medical platforms with en route care provided by medical personnel. Prioritization of patients - Correct Answer-•Casualties requiring evacuation are prioritized to ensure the most seriously injured or ill receive timely medical intervention consistent with their medical condition. As with medical treatment, the patient's medical condition is the only factor used to determine the evacuation precedence. •The decision to request a MEDEVAC and the level of evacuation precedence will be made by the senior medical personnel on scene, or senior military ranking officer if

medical personnel are unavailable based on the patient's condition and the tactical situation. •The patient's medical condition is the overriding factor in determining the evacuation platform and destination facility. Priority 1 Urgent - Correct Answer-assigned to emergency cases that should be evacuated as soon as possible and within a maximum of one hour in order to save life, limb, or eyesight and to prevent complications of serious illness and to avoid permanent disability. Priority 1A Urgent-Surgical - Correct Answer-assigned to patients that should be evacuated as soon as possible and within a maximum of one hour who must receive far forward surgical intervention to save life, limb, or eyesight and stabilize for further evacuation. Priority 2 Priority - Correct Answer-assigned to sick and wounded personnel requiring prompt medical care. This precedence is used when the individual should be evacuated within four hours or if his medical condition could deteriorate to such a degree that he will become an URGENT precedence, or whose requirements for special treatment are not available locally, or who will suffer unnecessary pain or disability. Priority 3 Routine - Correct Answer-assigned to sick and wounded personnel requiring evacuation but whose condition is not expected to deteriorate significantly. The sick and wounded in this category should be evacuated within 24 hours. Priority 4 Convenience - Correct Answer-assigned to patients for whom evacuation by medical vehicle is a matter of medical convenience rather than necessity. 9 line medevac - Correct Answer-•provides a standardized message format that helps expedite the medical evacuation process. The same format is used for both air and ground MEDEVAC requests. •request should be transmitted using secure communications for operational security. •Medical evacuation requests often are sent from the Point of Injury (POI), through intermediaries, such as higher headquarters, who then transmit the request up to the nearest MEDEVAC unit. Medical evacuation of detainees - Correct Answer-•Sick, injured, and wounded detainees are treated and evacuated in military police channels when possible. •They must be physically segregated from U.S. and multinational patients.

•Providing guards for the transport of detainees is NOT the responsibility of MEDEVACs units or the MTF. Guards for these detainees are provided according to the BCT, division or corps orders and are from other than medical resources. •The U.S. provides the same standard of medical care for wounded, sick, and injured detainees as that given to U.S. and multinational Soldiers. Line 1 in 9 line - Correct Answer-Location of the pick-up site Line 2 in 9 line - Correct Answer-Radio Frequency or Call Sign Line 3 in 9 line - Correct Answer-Number of patients by precedence: A - Urgent B - Urgent Surgical C - Priority D - Routine E - Convenience Line 4 in 9 line - Correct Answer-Special equipment required Line 5 in 9 line - Correct Answer-Number of patients by types Line 6 in 9 line - Correct Answer-Security at pickup site Line 7 in 9 line - Correct Answer-Method of marking pickup site Line 8 in 9 line - Correct Answer-Patient nationality and status Line 9 in 9 line - Correct Answer-NBC Contamination Site Full Accounting - Correct Answer-"I will never leave a fallen comrade" •Full accounting requires: -Proper identification -Explanation as to the cause and manner of death Family members expect and deserve a full accounting Providing a full accounting takes precedence over any procedure that may or may not preserve remains mortuary affairs program - Correct Answer-starts at the unit level with search and recovery and continues until remains are returned to the PADD (Person Authorized to Direct Disposition) and all PE (Personal Effects) is returned to the PERE (Person Eligible to Receive Effects).

mortuary affairs collection point (MACP) - Correct Answer-theater are always co-located on bases with Role 3 facilities and usually co-located with Role 2 facilities Theater Mortuary Evacuation Point (TMEP) - Correct Answer-is located at a major Aerial Port of Embarkation Flow of Remains - Correct Answer-